RADIATION SAFETY ASSOCIATES, INC.
Order Your URSA-II Here!
Please note: shipping charges will be added to your order. All orders must be pre-paid in US funds, for US customers only. For international orders, please visit our partner, S.E. International at http://www.seintl.com/english/ursa2.htm.

CONTACT INFO
BILLING ADDRESS
First Name
Last Name
Title
Company Name
Address 1
Address 2
Address 3
City
State
Postal code / ZIP
Country
Phone
Fax
Email
ITEM(S) YOU WISH TO RECEIVE (Enter quantity in box to the LEFT of item)
QUANTITY: URSA-II ($4000)
Please add $35 for shipping.
QUANTITY: URSA-II with GPS capabilities ($4200)
Please add $35 for shipping.
PAYMENT INFORMATION*
Payment Type
Amount Authorized for Charge
Credit Card number
Name on Card
Expiration Date
Purchase Order Number
(if applicable)
.

To purchase using PayPal, please click "buy now" button below.

*NOTE: Quantity discounts and expedited shipping are available.
We can also supply detectors, cables and calibration services. Please call us for a specific quote.

If you prefer to mail or fax your order (to pay by check or
to set up a purchase order), please print out this form and send it to us.

Connecticut customers must pay sales tax. Please add 6%.

Radiation Safety Associates, Inc.
19 Pendleton Drive • PO Box 107 • Hebron, CT 06248
VOICE: 860.228.0487 • FAX: 860.228.4402 • EMAIL: info@radpro.com

RETURN TO HOME PAGE • RETURN TO URSA-II HOMEPAGE • EMAIL US